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OLIGOTHERAPY
This monograph is intended to serve as a guide to industry for the preparation of Product Licence
Applications (PLAs) and labels for natural health product market authorization. It is not intended
to be a comprehensive review of the medicinal ingredients.
Notes
By submitting a PLA referencing this monograph, the applicant is attesting that the product
will comply fully with the recommended conditions of use outlined in this monograph. The
conditions of use include methods of preparations, source materials, doses, durations of use,
combinations of medicinal ingredients, and risk statements.
Text in parentheses is additional optional information which can be included on the PLA and
product label at the applicants discretion.
The solidus (/) indicates that the terms and/or the statements are synonymous. Either term or
statement may be selected by the applicant.
The use of the electronic Product License Application form (ePLA) is not possible for
products associated with this monograph.
Route(s) of administration
Oral
Sublingual
Dosage form(s)
The acceptable pharmaceutical dosage forms include, but are not limited to capsules,
chewables (e.g. gummies, tablets), liquids, powders, strips or tablets.
This monograph is not intended to include foods or food-like dosage forms such as bars,
chewing gums or beverages.
The acceptable pharmaceutical dosage forms suited to sublingual administration.
Subpopulation(s)
Adults ( 18 years)
Quantity(ies)
1 dosage unit every 3 hours up to 8 times per day for 3-5 days.
1 dosage unit every 3 hours up to 8 times per day for 3-5 days.
Table 1 Proper name(s), Common name(s), Source material(s) and Dosage information
for single ingredient preparation
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Maximum quantity
Proper Common
Source material(s) per dosage unit
name(s) name(s)
(g)
25
Chromium Chromium Chromium (III) chloride
Sodium iodide; 24
Iodine Iodine
Potassium iodide
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Maximum quantity
Proper Common
Source material(s) per dosage unit
name(s) name(s)
(g)
Table 2 Proper name(s), Common name(s), Source material(s) and Dosage information
for multi-ingredient preparation containing one of the following combination
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Copper; Copper; Copper gluconate; 500;
Gold; Gold; Gold elemental; 0.2;
Silver Silver Silver gluconate 7.4
All product
Take a few hours before or after taking other medications (HC 2012; Martindale 2011).
Take with food (HC 2012; Martindale 2011).
Use for up to two months or as recommended by a health care practitioner (Brigo 1999).
All products
If you have renal impairment, consult a health care practitioner prior to use (JECFA 1988)
If you are taking Vitamin B12, consult a health care practitioner prior to use (EVM 2003)
If gastrointestinal upset and/or skin rashes occur, discontinue use and consult a health care
practitioner.
If you have a history of non-melanoma skin cancer, consult a health care practitioner prior to use.
Contraindications
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Products containing Cobalt
If you have an iodine deficiency, do not use this product (EVM 2003).
If you have tuberculosis or a history of tuberculosis, do not use this product (Padrazzi 1988;
Mntrier 1983).
If you have tuberculosis or a history of tuberculosis, do not use this product (Mntrier 1983).
If you have cancer, tuberculosis or a history of tuberculosis, do not use this product (Padrazzi
1988; Mntrier 1983).
Using this product in an area where the drinking water has a natural fluorine content in excess of
0.7 parts of fluoride ion per million parts of water or is artificially fluoridated, may result in
mottling of the tooth enamel.
Non-medicinal Ingredients
Must be chosen from the current NHPD Natural Health Products Ingredients Database (NHPID)
and must meet the limitations outlined in the database.
Specifications
The finished product specifications must be established in accordance with the requirements
described in the NHPD Quality of Natural Health Products Guide.
The medicinal ingredient must comply with the requirements outlined in the Natural Health
Products Ingredients Database (NHPID).
References reviewed
ANSM 2012: Agence nationale de scurit du mdicament et des produits de sant. [Accessed
2013 May 29]. Available from: http://afssaps-prd.afssaps.fr/php/ecodex/index.php
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ASHP 2005: American Society of Health-System Pharmacists. American Hospital Formulary
Service (AHFS) Drug Information. Philadelphia (PA): Lippincott Williams and Wilkins; 2005.
EC 2009: European Commision. Scientific Committee on Cosmetic Products (SCCP), Health &
Consumer Protection, Directorate-General. Clarificaton on the opinions SCCNFP/0653/03 and
SCCP/0882/05 on the safety of fluorine compounds in oral hygiene products for children under
the age of 6 years. [Accessed 2013 May 29]. Available from:
http://ec.europa.eu/health/ph_risk/committees/04_sccp/docs/sccp_o_169.pdf
EVM 2003: Expert Group on Vitamins and Minerals. Safe Upper Levels for Vitamins and
Minerals. May 2003. [Accessed 2013 May 29]. Available from:
http://cot.food.gov.uk/pdfs/vitmin2003.pdf
Martindale 2011: Sweetman SC, editor. Martindale: The Complete Drug Reference. 37th edition
[Internet]. London (GB): Pharmaceutical Press; 2012. [Accessed 2013 May 29]. Available from:
http://www.medicinescomplete.com
Picard H. Utilisation thrapeutique des oligo-lments, 5e dition. (FR): ditions Maloine, 1986.
Sal J., Donadieu Y. Les thrapeutiques naturelles : les oligolments. (FR): ditions Maloine,
1986.
Simon V. Les troubles fonctionnels et leur traitement. (FR): ditions Maloine, 2002.
U.S. Food and Drug Administration, Food and Drugs, Food and Drug Administration Department
of Health and Human Services, Drugs for Human Use. Part 369 - Interpretative Statements Re
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Warnings on Drugs and Devices for Over-The-Counter Sale. [Accessed 2013 May 29]. Available
from: http://www.gpo.gov/fdsys/
U.S. Food and Drug Administration, Food and Drugs, Food and Drug Administration Department
of Health and Human Services, Drugs for Human Use. Part 355 Anticaries Drug Products For
Over-The-Counter Human Use. [Accessed 2013 May 29]. Available from:
http://www.gpo.gov/fdsys/
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